The surgery to reverse a vasectomy involves sewing back together the tube (vas deferens) that is responsible for carrying the sperm from each testicle to the semen and attaching this tube to the epididymis. The surgery is an outpatient surgery, which means that it is not necessary to stay overnight in the hospital.
There are two ways in which doctor’s perform the reversal: vasovasostomy and vasoepididymostomy.
Avasovasostomy is a reversal procedure in which the severed ends of the vas deferens are sewn back together. It is possible that during surgery it is discovered that the ends cannot be sewn back together so a more complex surgery is then required to restore the flow of sperm.